2020年12月24日星期四

hemorrhoids and anal fissures,I haven’t gotten pregnant for two years after the laparoscopic recanalization of the fallopian tube surgery. Help me get pregnant as soon as possible

    Patient question: Hello District Director, I have not been pregnant for many years after being married. I haven't had menstruation for half a year. In June, you prescribed progesterone to remind me to check my endocrine, but my menstruation came but I couldn’t get the blood in time. If my menstruation still doesn’t come this month, I can take the same progesterone capsules you originally prescribed to me. Come to remind menstrual blood? ? It turns out that the endocrine checklist you opened was not used last month. Can it still be used this month? ? Thank you

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: Your blood drawing list is "always" valid, and you can take blood when you next menstruation. If menstruation has not occurred for more than 2 months, progesterone capsules can be used to "invigorate menstruation."

    Patient question:

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: You must continue to take the medicine until there is no "brown secretion" at all to be considered clean, and then come to our office to check the vaginal discharge.

    Patient question:

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: "The fallopian tube is blocked" can not be artificial insemination! (Not artificial insemination). Only if you have undergone salpingography can I judge your situation and tell you what to do next, not what I can tell you now.

    Patient question:

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: Cervical erosion is related to your menstrual disorders. As long as you adjust your menstrual cycle and restore ovulation, cervical erosion will disappear by itself and will not affect your pregnancy! Please refer to the related content of the popular science article about "Don't mention "cervix erosion" is like talking about tiger discoloration" that I have published on this webpage. The drugs I am taking for you are "artificial cycle" drugs, which are "regulating menstruation". If the menstruation is adjusted, ovulation will occur. According to the information you provided, if you haven't had menstruation within five days, you can come to our office for follow-up.

    Patient question:

    Thank you, the district director. I asked the day that I had menstruation that night. My stomach hurts so much. I will come to you to prescribe the medicine in two days. Thank you

    Patient question:

    Hello District Director, I am going to ask you to prescribe medicine on the 17th. The estrogen is still prescribed with the same amount of French. What I want to ask is that I started to feel a little uncomfortable when I went to the bathroom to pee at noon today. I felt that my urethra would be painful, with a little bloody color, and I felt uncomfortable. There have been such cases before. After a long time, it would be very painful and a little bloody. Later, I went to the pharmacy and bought the anti-inflammatory medicine and took it and it disappeared. But now I am taking the medicine you prescribed, am I going to check with you? Or can I go to the pharmacy to buy any medicine to eat? Thank you

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information you provided, you are now suffering from an acute urinary tract infection, which has nothing to do with the drugs I prescribe to you. However, you should come to our office as soon as possible to prescribe medication.

    Patient question:

    Hello Director, I went to ask you to prescribe medicine on the 24th. Today is the third day after eating, I still feel a little uncomfortable, but it's much better, but I feel a little dripping after the toilet is refreshed. I felt a little itching at the vaginal opening in the past two days. Today, I felt a slight pain in the lower left abdomen (about 4 inches below the umbilical cord and 3,4 inches near the left pelvic bone) at the end of the analysis. For a short while, will this be a big deal? If I still have abdominal pain after taking the medicine for 7 days, do I still need to come to you? How long does this need to be forbidden from intercourse? Thank you, Director, for taking the time to reply~~~

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: According to the situation you provided, you should not be overly nervous and should continue to take the medicine. Drink plenty of water during the medication. If you still have trouble after taking the medicine, you can come to my office for follow-up. Wait until the next menstruation is clean before resuming intercourse.

    Patient question:

    Hello Director~~ I am still taking the medicine you prescribed for ovulation. My menstruation stopped on the 21st, and on the 8th day (22nd) I observed that the vaginal discharge was not bloody and I had sex at night. It was past noon today (23rd) After a one-time life, there was vaginal discharge in the toilet in the afternoon, a blood strip, and then there was no more. Does this need to be checked by you? Also, after last month's urinary tract infection, I always got drenched when going to the toilet. Every time I went to the toilet, I always felt dirty. Will this be a problem? Thank you!

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: You should drink plenty of water if you are uncomfortable with urination. Please refer to me again in my last reply and I have clearly told you what to do. If you mentioned "there is a blood strip and then no more" after sexual intercourse, there is no need to check the cause and treatment.

    Patient question:

    Okay, I know how to do it. Thank you! However, I have had that acne on my labia that day. Sometimes it is very itchy. Now the vaginal opening will grow. There are almost a row of labia on both sides. You’ve seen it before, but it’s really itchy. Is there any way to alleviate this situation? Thank you

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Patient question:

    Hello, Director... Why is it that my lower abdomen is painful after pressing for the past two days? Because of gastritis, I always have abdominal distension and constipation this month. It’s been like this recently. I felt that my lower abdomen was a little bloated from yesterday. I felt a little stuffy and painful if I didn’t press it. I felt uncomfortable. I felt pain when I pressed the middle on both sides. Today I only felt pain in the middle and right lower abdomen. It feels uncomfortable if you don’t press it...The abdomen doesn’t swell after being put on the large size, but the attachment on the right will feel slightly painful. Pressing it will make it more painful. Do I need to go and see you?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information provided by you, it is caused by the poor peristalsis of the stool in your intestines. You should not "press" anymore. As long as you eat more fat-rich foods daily to make the feces in the intestines move smoothly and clear stools every day, you will not be "uncomfortable".

    Patient question:

    Hello, Director, my menstruation was on the 15th of the last month. The number of cycles that you prescribed for me to regulate menstruation was 28 days. If I did not take it this month, I took ovulation-stimulating drugs. But the 12th is the 28th day, today is the 15th, and the menstruation has not come yet~~ I have tested the urine on the 12th and have not been pregnant. But yesterday at noon on the 14th, I had a one-time life. In the afternoon, I saw some blood and blood in the secretion~~Because there is almost no vaginal discharge in these two days~~ So I want to shed some blood. It's semen, but I don't know if the blood is hurt or menstruation is coming. There is no blood today (15th) and there is no secretion. So I don't know when I should come to find you. We are going back to our home in the past two days, so I don’t know if I am going to see you in the past two days.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information you provide, you can come to our office for follow-up treatment before "going home". I need to further confirm your true situation and tell you what to do.

    Patient question:

    Hello, Director. I went to find you on the afternoon of the 16th. You said that you will be able to detect pregnancy after menstruation. Because I am going back to my hometown on the 17th, you prescribed ovulation drugs and vitamin B6 in advance. You are not taking it now . I bought a stick on the 23rd and it was positive. During the period when I returned to my hometown, I thought that I would not be pregnant, and I had sex twice without any contraceptive measures (the last time was on the 22nd). Does this affect the fetus? The center of my right pelvis (around the center of the buttocks) is accompanied by soreness. Sometimes, my abdomen will feel a little faintly painful. After standing for a long time, my waist will be sore. Sometimes the secretions are a little too much, and the white is thick and thick like masses of paste, and there is no peculiar smell. Sometimes my body temperature is a little bit high, these days I always get migraines, and my pulse is a bit fast. Director, is this normal for me? I am in my hometown now because it is a little far away from Guangzhou. I will not be able to find you until after the opening of the year. What should I do during the period when I was looking for you in the past?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information provided by you, if you are now "positive" by yourself, you are pregnant. If you now know that you are pregnant, you must ban sexual intercourse. The discomfort you mentioned requires a good rest and the opportunity to reduce or disappear. No need to "take body temperature" anymore! At that time, you must refer to the relevant content of the popular science article about "Three Things to Do During Pregnancy" that I have published on this webpage, and remember the three things I said in the popular science article. Come to my office as soon as possible after returning to Guangzhou for a B-ultrasound. The abdominal B-ultrasound is done, which can only be done by holding back urine in advance.

    Patient question:

    Director, I had menstruation after 15 days, but my menstruation disappeared in 7 days. In this way, the fetus is 6 weeks old. However, my stomach stings for a while after getting up in the morning, and then I lie down for a while and it gets better. It's about 8 or 9 minutes. How is this going? Is there a problem with the fetus?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: It is necessary to determine whether there is a problem with the "fetus" or whether there is a "problem" in this pregnancy. It is necessary to take the medicine to the hospital for an abdominal ultrasound examination. However, what can answer you is: You have Abdominal pain has nothing to do with whether or not a "miscarriage" occurs. Even if a miscarriage occurs and vaginal bleeding occurs, it may not cause abdominal pain. It may be "bleeding" just like menstruation. You must refer to the relevant content of the popular science article about "Three Things to Do During Pregnancy" that I have published on this webpage, and remember the three things I said in the popular science article. Come to my office as soon as possible after returning to Guangzhou for a B-ultrasound. The abdominal B-ultrasound is done, which can only be done by holding back urine in advance. Please refer to me again in my last reply and I have clearly told you what to do.

    Patient question:

    Director, hello! When I slept tonight, there were a few red bumps on my thighs and on my body...like being bitten by a mosquito. There are two on the inner thighs, and a few on the body, which are very itchy, but I don’t care about it for a while, and there is one on my abdomen. I used to have two on my arm and then subsided, so I didn't care much. However, I would like to know why these itchy bumps develop. How should I deal with these itchy bumps, can I use Pikangwang rub? I won’t be able to come to see you until after the Lantern Festival, but I have to take a long-distance bus for more than 6 hours. Is there anything I should pay attention to?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: According to the information you provided, it is considered that you were bitten by a "fleas"! ! You can use "floral water" to apply "pimple".

    Patient question:

    Hello, Director. These itchy pimples continue to appear on my body (I cleaned all the beddings in the room). They are the same as the Qiu Clinic, but the number of them is not many. After days have passed, it will return, and the toilet water can only stop itching for a while. I'm really worried about whether the long itch acne will affect the fetus. I don't know if it's a wind diagnosis... I'm worried, I don't know what to do.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Patient question:

    Director, hello. On the 3rd, I cooked a lot of prawn porridge and ate a lot. After about an hour, a few lumps of meat appeared on my body. It was quite itchy (the itchiness was tolerable), but I also ate seafood once during pregnancy. But there is no allergies, and I have eaten it two days ago, and there is no allergies. After returning to Dongguan on the 3rd, I ate a lot of prawn porridge and slept for a while and found that there was a big itchy meat mass on my body like rubella, and then a few more itchy meat masses followed. This morning (No. 4) I woke up and grew a few more, very itchy. So I don’t know if I’m allergic this time or something. Director, I also want to ask if I am taking the folic acid tablets and calcium tablets you prescribe, can I still drink milk powder for pregnant women (containing folic acid)?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: If you have an “itch” after eating “prawn porridge”, don’t eat “seafood”. There is no need to drink special "maternity milk powder", just drink the most common milk powder or milk. However, during pregnancy, you must eat more meat and foods with high protein content (such as milk, eggs, etc.).

    Patient question:

    Director, hello. I would like to ask if the B-mode ultrasound has any effect on the development of the fetus... I have taken a total of 4 photos from my pregnancy (2012.12.15 last menstrual period) to now. The previous one was taken on March 2. This Saturday (March 16) you said that you will have a B-ultrasound in the past, and your family members are also worried that such frequent B-ultrasound will affect the fetus. So I want to know the impact.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: How many times B-ultrasound is done during the whole pregnancy period will not affect the pregnancy or the pregnant fetus! When I arrange for you to have a B-ultrasound, there are medical principles, and it will not affect the normal fetus!

    Patient question:

    Director, hello! I went back to Dongguan on the 20th. Today (21st) I dreamed of having a sexual orgasm and woke up in the morning and felt that there was something on my right abdomen that was shrinking there and it was hard. Then I felt that my abdomen was swollen and tight. It feels stretched (with a bowel movement this morning). It feels like a mass of hard objects on the top of the hand, and sometimes it feels like something is going up. It feels clearer when lying down. Sleeping on the side feels small, and sometimes feels cold in the abdomen. It's been more than 12 weeks now, and this situation will be felt in the first two weeks, but there is no pain in the abdomen, and there is no abnormal discharge, but I still feel nauseous and cannot eat meat. I feel like having a bowel movement after returning to Dongguan for these two days, but I keep a big size every day. Director, I want to know if this is normal for me.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information you provided, what you mentioned was "a swollen abdomen, a feeling of tightness, (there was a bowel movement this morning) like a hard thing on the hand, Sometimes it feels like something is going up." It is a contraction of the uterus. If this happens, you must lie on the bed and take the side position until this "contraction" no longer occurs.

    Patient question:

    Director, hello. I’m just 15 weeks pregnant now... Today (April 06) I went to the toilet with blood in my stool at noon. I went to the toilet once in the morning. Because I was very sleepy, I didn’t pay attention to whether there was blood in my stool in the morning. I feel sick in my stomach and want to go to the toilet. I went to the toilet at noon and found that it was not poop or blood, like a blood clot, not too thick, accompanied by a small amount of poop, like diarrhea, and always having diarrhea after going to the toilet It feels very uncomfortable in the abdomen. (Yesterday, No. 05 did not go to the tuba. Recently I have always felt that after I went to the tuba in the morning, I would feel like having a bowel movement after eating. There is a toilet every day, and I did not feel constipation. I did not go to the tuba yesterday. At noon today, I feel blood in my stool when I want to have diarrhea.) But I didn’t realize that I had hemorrhoids. I am very worried, I don't know if it will affect the fetus, and I don't know what's going on... I don't know how to solve this problem.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: The condition you mentioned is bleeding from "hemorrhoids". It is very easy to form "hemorrhoids" and "hemorrhoid bleeding" during pregnancy, so you must eat more meat every day to make you have "soft stools" every day. If it is when hemorrhoids are bleeding, you can stay in bed after defecation, and the bleeding will stop.

    Patient question:

    Director, hello. I’ve been 16 weeks now, and I’ll have to come and see you for a re-examination next week. However, my stomach has been swollen, tight and hard for the past two days, and it’s very uncomfortable. So I want to ask you, these few days (15 (Beginning week) Sometimes there will be a concentrated pain like being pierced by something in the center of the stomach, which disappears after a while, and it hurts 3 to 5 times a day. Sometimes it doesn't hurt in a day. In the past two days, my belly swelled again. It was swollen when it was softer than usual. It was tight and felt very hard. You said it was contractions, but is it normal to have pain these days? My friend said that there might be a miscarriage, so I was very worried.

    Patient question:

    I still feel very swollen even when I wake up... Yesterday it hurts many times, and it also hurts when I sleep... But it’s not very painful... Is there anything?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: The situation you mentioned is a "contraction". Now if there is a "contraction", you must stay in bed more and work less.

    Patient question:

    District director, hello. I went to the review two days ago and forgot to ask you. After I entered for 17 weeks, I felt dizzy and flustered after eating every day, and occasionally felt like vomiting. May i know what is this all about?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: The condition you mentioned is not a disease. As long as you eat less and more meals, you must eat more nutritious food.

    Patient question:

    District director, hello. In February of this year, I did a free pre-pregnancy eugenics checkup in my home city, and obtained a certificate to obtain a birth permit. At that time, I checked the vaginal discharge, B-ultrasound, the blood of my husband and I, and after drawing our blood, we poured our blood into a blood cylinder. I was in the 9th week of pregnancy by then. There was no result at that time, and we were told to leave without telling us when there was a result. Today (pregnancy 18 6), the receiving service station sent a message saying that the results of my eugenics examination had unfavorable factors and asked me to take my ID card to get the results, but it was too far back. So I want to ask the district director first, there is nothing wrong with my examination at your place, do I need to go to your place for another eugenic examination to confirm whether it is really harmful to pregnancy? I am very worried, I have been pregnant for so long. Only now I said there were disadvantages, so I was scared.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: You can ask your husband to get the test result, and then ask your husband to show it to me. Disadvantages are not medically standardized terms or terms.

    Patient question:

    Hello, District Director. I have always had pain in my abdomen (a little bit above the pubic bone) after urinating these days. Sometimes it hurts to the point that I can't straighten my waist. It will be much better if I sit down, but I still feel a little pain when I stand up. It was like this last week, but I didn’t tell you if it’s not serious, but the last few days have been very uncomfortable. I always want to go to the toilet. After a few minutes after urinating, I want to go to the toilet again. Sometimes I urinate and lower my abdomen. It hurts. Sometimes I don’t dare to go, especially after waking up at noon and night, it will be more painful. Do I need to go to see you for follow-up in this situation?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: Because you will continue to enlarge after pregnancy, it will press into the bladder in front of the uterus. Once you have urine in your bladder, it will make you feel like you have to urinate. Drink water, and you will have to clear the urine. After a period of time, after your bladder adapts to the pressure of the enlarged uterus, the feeling you described will gradually improve and gradually disappear. What you mentioned "a point (part of) on the pubic bone is always painful" is that your "pubic symphysis" is loose. This is a normal physiological phenomenon during pregnancy. If you have "pubic symphysis" pain, just take a good rest and less After walking for a while, the pain in the pubic symphysis will be relieved.

    Patient question:

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information provided by you, if you have "upper abdominal pain", you can go to the hospital for blood sampling for liver function tests. If there is no increase after examination, there is no need for "treatment". Wait until your baby is delivered within 24 hours before giving your baby a preventive "treatment".

    Patient question:

    District Director, hello! I did the last B-scan at your place in 25 weeks and went back to my hometown.It's been 27 weeks, and I haven't gone for a check-up. I may have been sitting for a long time today. I suddenly felt a contraction in my stomach after 2 noon, accompanied by a painful sensation, which disappeared in a few seconds. I had this contraction before but there was no pain. After the pain this afternoon, the whole stomach has been in a tight state, it is hard, the whole person is not very comfortable, the stomach is very tight, lying on the left side of the bed is a little relieved, but when I stand up, I will immediately feel the whole stomach Tightly. Then throughout the afternoon, there were 3 to 4 abdominal contractions accompanied by swelling and pain, which did not appear for a long time, and the interval between these occurrences was about one to two hours. I still felt tightness in my stomach until the evening. Now I lie on my side at 10 o'clock in the evening and feel a little tightening in the middle of my abdomen. It doesn't hurt. There is nothing unusual about the secretions, but my waist will become sore and tired during this time. Director, can something like my situation be relieved? Is my situation a bit serious? Thank you.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information you provided, you now need to go to the hospital to see an obstetrician and gynecologist for examination and treatment as soon as possible to relieve contractions. Of course, bed rest is very important.

    Patient question:

    District director, hello. I went back to my hometown after the last check-up at your place in 25 weeks. It is now 33 weeks. At the time of your examination, the last B-ultrasound was normal, that is, the fetus went around the neck once. I ovulated and conceived the baby after taking medicine during your menstrual period. After the last checkup, you asked me to choose C-section when giving birth. My family hopes that I can have a smooth delivery. Let me ask you if I can have a smooth delivery if I check everything is normal then. Now my fetal position is correct, and the fetus is not around the neck.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: If you continue to do the B-ultrasound, if there is no umbilical cord around the neck during labor, trial delivery is possible. However, whether the vagina passes smoothly depends on the size of the fetus. Now say " It is still too early to give birth to normal delivery or a C-section.

    Patient question:

    Patient question:

    When I took the medicine, I didn’t know that I was pregnant. I thought I still had to take the medicine to get pregnant, so I didn’t care about the delayed menstruation. I only found out that I was pregnant in June. I just want to know if this fetus can be left, and if antibiotics will be caused at that time.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: Generally speaking, the drugs you mentioned have no effect on pregnancy or pregnant fetuses. If you have a B-ultrasound to detect germ and fetal heartbeat, you can continue to get pregnant.

    Patient question:

    Disease: Cervical erosion 2 degree

    Condition description: One month postpartum hemorrhage in the same room, now 44 days there is still blood. I went to review for 42 days and prescribed the medicine for a week. I was originally asked to go there every 3.4 days. My home is far away and I asked to go for the medicine once a week, saying that I would stick to the medicine for 3 months. Let me go to the pharmacy outside to buy 4., 5 boxes of Fuyan Ding, and said that the hospital does not have this medicine, so I appoint that pharmacy. I didn't buy it. Gynecological examination said that cervical erosion was 2 degrees, which was a bit deep. The b-ultrasonic examination showed that there was 1.2cm fluid in the uterine rectal fossa.

    Previous treatment conditions and effects:

    The doctor asked me to apply the medicine for a week, but I did not get the medicine and go home.

    Hope to provide help: what to do with cervical erosion and postpartum hemorrhage? It is difficult for me to accept the treatment plan of that doctor.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information you provided, the b-ultrasound report you did did not detect any abnormalities, so if you still have "bleeding", just take the "blood-activating and removing blood stasis" Chinese patent medicine It can "stop the bleeding". No need to do "treatment" or "medicine" etc.! What you mentioned "cervical erosion is 2 degrees, a bit deep. The b-ultrasound said that there is 1.2cm effusion in the uterine rectal fossa" is a normal physiological phenomenon, not a disease!

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